Abstract
Introduction Uterine rupture represents one of the most severe obstetric affections. It is defined
as a complete or a partial tearing of the uterine wall. Women with a prior cesarean
section are reported to have a higher risk of having this situation. Moreover, maternal
death and most of all middle- and long-term adverse consequences remain a great preoccupation.
On another scale, neonatal death and ulterior deterioration remain very high, especially
in low-income countries.
Case Description A 24-year-old woman with a history of previous cesarean section presented at 35 weeks
of gestation with pelvic pain without bleeding. Emergency cesarean section revealed
a complete uterine rupture at the scar site from the previous cesarean section. Remarkably,
the fetus managed to seal the rupture using the right temporal region, forearm, and
right leg, avoiding significant complications. The mother had an uncomplicated postoperative
course and was discharged after 48 hours of surveillance.
Conclusion We present with this case an extraordinary case of a uterine rupture where both mother
and child had a good outcome. This rare evolution was reported only one time in literature.
For this reason, a history of caesarean delivery might present a huge challenge for
obstetricians and neonates.
Keywords
cesarean Section - diagnosis - perinatal morbidity - uterine rupture - scarred uterine
rupture
